• 한국학교보건학회지
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• 제29권3호
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• pp.209-217
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• 2016

Purpose: This study was to examine the changes in knowledge, attitudes, and preventive behaviors among elementary school students after providing them with tuberculosis prevention education. Methods: A total of 235 students from D elementary school in G city were selected. After completing tuberculosis prevention education, the subjects were surveyed five times for 16 weeks. 1,087 samples were included in the final analysis. One-way ANOVA, $Scheff{\acute{e}$'s test, Pearson's correlation, and multiple regression analysis were performed to examine the changes in tuberculosis-related knowledge, attitudes and preventive behaviors over time. Results: After 16 weeks from the education, the scores of preventive behaviors did not show any significant difference compared to the time right after the education. However, the scores of knowledge and attitudes tended to improve. In particular, 1st~2nd graders had high scores in both knowledge and attitude, and the scores of knowledge and attitude gradually increased over time. The correlation between knowledge, attitude, and preventive behavior regarding tuberculosis had a positive significance during the entire time of the survey. Conclusion: Positive associations between knowledge and attitude and between attitude and preventive behavior sustained for 16 weeks after tuberculosis education among elementary school students. This study suggests that tuberculosis prevention education conducted early on from lower grades can produce more educational effects and that it could be a foundation not only for developing knowledge of tuberculosis but also for cultivating adequate attitudes and forming active tuberculosis preventive behaviors.

• 지역사회간호학회지
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• 제14권2호
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• pp.242-252
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• 2003

Purpose: To examine the effect of a smoking prevention program on changing the knowledge and attitude toward smoking behavior of male middle school students. Method: A total of 69 male middle school students participated in this study. Each of them was assigned to either smoking prevention program (n=35) or to a control group (n=34). The intervention for the experiment group was developed by the investigator. The questionnaires for assessing knowledge and attitude were created by modifying scaled employed in previous studies. Result: 1) The experimental group with smoking prevention program showed higher scores in knowledge for smoking harmfulness in comparison with the control group (F=18.782, p=.000). 2) The experimental group with the smoking prevention program showed lower scores in attitude toward smoking behavior in comparison with the control group (F=17.483. p=.000). Conclusion: The results showed that the smoking prevention program was effective on improving knowledge and attitude toward smoking behavior in male middle school students. More studies on development of comprehensive smoking prevention programs for adolescents need to be conducted in the future.

• 여성건강간호학회지
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• 제24권2호
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• pp.209-218
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• 2018

Purpose: This study was conducted among older women to (1) identify their levels of knowledge, self-efficacy, and health behavior in dealing with osteoporosis and falls and (2) explore the relationships between the study variables based on a health-beliefs model. Methods: With a cross-sectional survey design, we recruited 94 older women of ages from 65 to 74 at a community setting via convenience sampling. The study participants completed two sets of structured questionnaires (on osteoporosis and fall prevention). Results: The general characteristics of the study participants demonstrated that the women were at high risk for osteoporosis and falls. Overall, the levels of knowledge about osteoporosis and falls, their self-efficacy, and their preventive behaviors were average or slightly above. The relationships between the study variables showed that self-efficacy and healthy behavior, such as doing osteoporosis exercise, eating an osteoporosis diet, and avoiding falls, were related (r=38, p<.001; r=.33, p<.05; r=.26, p<.05). In addition, there were statistically significant relationships between osteoporosis and fall prevention knowledge (r=.37~.46, p<.001), self-efficacy (r=.50~.53, p<.001), and preventive behaviors (r=.50, p<.001). Conclusion: The women's scores on osteoporosis and fall knowledge, self-efficacy, and preventive behaviors suggest an urgent need for the implementation of educational programs for older women. A close relationship between self-efficacy and health behaviors implies a need for transformation of a traditional one-way lecture form.

• Asian Pacific Journal of Cancer Prevention
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• 제17권4호
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• pp.2111-2114
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• 2016

Opisthorchiasis is a health problem in Thailand particularly in northeast and north regions where have been reported the highest of cholangiocarcinoma. Active surveillance is required, therefore a cross-sectional surveyed was conducted in Nong Bunnak sub-district of Nakhon Ratchasima province, Thailand. A total of 367 participants were selected by multistage sampling from 5 villages located near natural water resources. Participants completed a predesigned questionnaire containing behavior questions regarding liver fluke disease, covering reliability and validity knowledge (Kuder-Richardon-20) = 0.80, attitude and practice (Cronbach's alpha coefficient) = 0.82 and 0.79, respectively. Descriptive statistics included frequencies, percentages, means, and standard deviations. The majority of the participants were female (58.3%), age group between 21-30 years old (42.5%), with primary school education (59.9%), occupation in agriculture (38.1%), and married (80.9%). They had past histories of raw fish consumption (88.3%), stool examination (1.4%), anti-parasite medication used (4.6%). Heads of villages, village health volunteers, television, and village newstations were the main sources for disease information. Participants had a moderate level of behavior regarding liver fluke disease. The mean scored of knowledge regarding liver fluke life cycle, transmission, severities, treatment, prevention and control was 10.9 (SD=0.5), most of them had a moderate level, 95.1%. The mean score for attitude regarding liver fluke prevention and control was 45.7 (SD=9.7), and for practice was 30.6 (SD=10.5). Participants had a moderate level of attitude and practice, 94.5% and 47.7, respectively. This study indicates that health education is required in this community including stool examination for liver fluke as further active surveillance screening.

• 여성건강간호학회지
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• 제11권2호
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• pp.156-162
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• 2005

Purpose: The study was done to identify the relationship of symptoms of stress, cancer prevention behavior, the quality of life in women, and the factors influencing the quality of life. Method: The subjects of this study were 210 married women. They were living in Gyeonggi Province and Busan Metropolitan City. Symptoms of stress were measured by the Park's Stress Scale. Cancer preventive behavior was measured by Suh's Korean scale, and Smith Kline Beecham Quality of life' Scale by Dunbar. Data was analyzed with the SPSS program by ANOVA, Pearson's correlation, and Multiple Regression Analysis. Result: The higher scores of physical stress correlated with lower practice scores of cancer prevention behavior. Psychological and physical stress revealed negative correlations among sub-items of the QOL such as competence, psychological well-being, stability, physical well-being and activity. Multiple regression analysis revealed that the predictor of quality of life in the women was stress. A combination of symptoms of stress and cancer prevention behaviors accounted for 35.3% of the variance in the quality of life in the women. Conclusion: The most important factor influencing the quality of life of women was stress. Thus the study's findings can be useful in directing a comprehensive nursing care plan to improve the QOL of women.

• Child Health Nursing Research
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• 제25권4호
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• pp.388-397
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• 2019

Purpose: This study aimed to identify the degree of accident prevention behavior, self-esteem, self-regulation ability, and social support among middle-school students, and investigate factors influencing their practice of accident prevention behaviors. Methods: The participants were 174 students from two middle schools located in J city. Data were collected from December 28, 2017 to February 9, 2018 using self-reported questionnaires. Results: The mean score were $3.08{\pm}0.37$ of 4 for practice of accident prevention behaviors, $3.07{\pm}0.57$ of 4 for self-esteem, $3.69{\pm}0.48$ of 5 for self-regulation ability, and $3.38{\m}0.75$ of 5 for social support. Positive correlations were found among self-regulation ability, self-esteem, social support, and practice of accident prevention behaviors. The factors influencing the practice of accident prevention behaviors were personality (being 'haste') (${\beta}=-.20$, p=.003), self-regulation ability (${\beta}=.48$, p<.001), and social support (${\beta}=.23$, p<.001). These factors explained 39.0% of the variance in practice of accident prevention behaviors. Conclusion: It was found that the middle-school students engaged in prevention behavior to an extent that was insufficient to prevent accidents. Therefore, it is necessary to develop intervention strategies to improve the practice of accident prevention behavior among middle-school students, considering self-regulation ability, social support, and personality, which affect the practice of accident prevention behaviors.

• 재활간호학회지
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• 제17권2호
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• pp.97-103
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• 2014

Purpose: This study was conducted to identify the knowledge, attitude, and preventive health behavior of cancer in middle-aged men and to provide data for education program regarding cancer prevention. Methods: This study was a descriptive research using a questionnaire, which included 20 items for knowledge, 10 items for attitude, and 18 items for preventive health behavior of cancer. Data were collected from 140 middle-aged men. Descriptive statistics, t-test, one-way ANOVA and Pearson's correlation coefficients, and stepwise multiple regression analysis were used with SPSS/WIN 18.0 to analyze the data. Results: The mean score for knowledge of cancer was 11.58 (range 0~20), for attitude, 37.52 (range 5~50), and for preventive health behavior of cancer, 58.85 (range 18~90). Preventive health behavior of cancer showed a significantly positive correlation with knowledge (r=.27, p=.001) and attitude (r=.31, p<.001) toward cancer. In stepwise multiple regression analysis, knowledge and attitude toward cancer were significant factors affecting preventive health behavior of cancer. Those variables explained 12.5% of cancer preventive behavior. Conclusion: In order to develop a cancer prevention education program for middle-aged men, accurate knowledge and improving attitude should be considered. Furthermore, it is necessary to do further study with a larger random sample according to lifespan.

• Asian Pacific Journal of Cancer Prevention
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• 제17권4호
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• pp.1713-1716
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• 2016

Background: Liver fluke infection is associated with cholangiocarcinoma; the bile duct cancer found frequently in the northeast and north of Thailand. Prevention and control particularly requires health education and behavior change. Objective: This study aimed to improve health behavior among village health volunteers (VHV) regarding liver fluke exposure in an epidemic area. Materials and Methods: A quasi-experimental study was performed during July 2015 to January 2016 in Sang Kha district of Surin province, Thailand. A total of 67 VHVs underwent a health education program (HEP) and data were collected on knowledge, attitude, and practice (KAP) before and after participation for HEP 3 months with a pre-designed questionnaire. The Students paired T-test was used for comparisons of mean KAP levels before/after the intervention. Results: The results revealed that knowledge (P-value=0.004), attitude (P-value=0.004), and practice level (P-value=0.000) were significantly improved after participation in the HBP. Attitude was significantly associated with knowledge (r=0.266, p<0.05), and practice (r=0.348, p<0.01). Conclusions: The implementation of health education among VHVs is feasible and increases their KAP. This improvement should have potential in liver fluke prevention and control in local communities in rural Thailand.

• Asian Pacific Journal of Cancer Prevention
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• 제15권12호
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• pp.5097-5105
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• 2014

Knowledge of health and community psychology in health professionals influences psychosocial and community determinants of health and promoting participation in disease prevention at the community level. This paper appraises the potential of knowledge on psychology in health care professionals and its contribution to community empowerment through individual behavior change and health practice. The authors proposed a schematic model for the use of psychological knowledge in health professionals to promote participation in health interventions/disease prevention programs in developing countries. By implication, the paper provides a vision on policies towards supporting breast cancer secondary prevention efforts for community health development in Asian countries.

• Asian Pacific Journal of Cancer Prevention
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• 제15권16호
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• pp.6499-6504
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• 2014

Health information-seeking behavior (HISB) is active need-fulfillment behavior whereby health information is obtained from diverse sources, such as the media, and has emerged as an important issue within the transforming medical environment and the rise of medical consumers. However, little is known about the factors that affect HISB and its associations, and the health outcome of HISB. The aim of this study was to examine individual and social contextual factors associated with HISB and to systematically review their effects on health status among post-treatment cancer patients. Individual determinants of HISB included demographic factors, psychosocial factors, perceived efficacy and norms, and health beliefs. Contextual determinants of HISB encompassed community characteristics, neighborhood social capital, and media advocacy. Improving through factors on these two levels, HISB raised individuals' self-care management skills and medical treatment compliance, and enhanced shared decision-making and medical treatment satisfaction. Moreover, because HISB can differ according to individuals' social contextual conditions, it can give rise to communication inequalities. Because these can ultimately lead to health disparities between groups, social interest in HISB and balanced HISB promotion strategies are necessary.